Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

Laurie Wolf; Kristen Gorman; Joshua Clark; Jonathan Gleason; Sarah Henrickson Parker

Study

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

Wolf L, Gorman K, Clark J, et al. J Patient Saf. 2022;18(8):e1160-e1166.

View more articles from the same authors.

Human factors play an important role in contributing to and preventing adverse events. This study found that integrating human factors into a new root cause analysis process led to an increase in the number of strong interventions implemented after adverse events.

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Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

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Reducing hospital harm: establishing a command centre to foster situational awareness.

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

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Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Patient Safety Indicators.

Reducing hospital harm: establishing a command centre to foster situational awareness.

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

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